What are the responsibilities and job description for the Prior-Authorization Specialist position at Anesthesia Practice Consultants?
Job Description
Job Description
Essential Job Functions
- Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements
- Reviews documentation to ensure all medical policy guidelines are met
- Request, follow up and secure prior authorizations prior to services being performed including appeals if necessary
- Communicates with patients to discuss prior authorization status
- Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations
- Communicate any insurance changes or trends among team
- Maintains a level of productivity suitable for the department
- Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format
- Other duties as assigned
Job Knowledge / Skills / Abilities
Physical Demands :
